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In order to plan future programs and to provide statistical data for grant writing purposes, we
request that each attendee fill out his/her own individual information even if attending along
with a family member.

All attendee data is recorded for statistical purposes or to forward future program information and will not be shared or sold for any purpose.

* Required fields

First Name:*

Last Name:*

Your Email:*

Phone Number:

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City Town :*

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5-digit Zip Code:*

Please register only for those events that you are certain to attend by checking the specific event boxes below. TeamUp will send out an email reminder for the next event that you are registered for.

FOLLOW-UP PARENT WORKSHOPS Facilitated by Research ILD staff in partnership with the Marblehead Counseling Center
	Online Registration for (Grade 4-6) is closed - Please call MCC at 781-631-8273
	Tuesday, January 29, 7-9pm *At-Home Learning Strategies Parent Workshop* (Grade 4-6 ) Tower School Library, Marblehead Research/ILD

	Required sign-up for workshops - 25 person limit, first come first served basis Admission: $5.00 paid to MCC - Scholarships Available

Please supply each of your children's grade level and school to help us plan for future programming:

Child #1			Other School
Child #2			Other School
Child #3			Other School
Child #4			Other School
Child #5			Other School

Comments:

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